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KENNETH HERRICK NP
NPI 1629576244
Nurse Practitioner in Hesperia, CA

Active since January 29, 2018PECOS Enrolled
17043 MAIN ST, HESPERIA, CA 92345(760) 241-6666(760) 243-2099 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2018, Feb 26, 2018 (2 updates tracked since 2018).

About Kenneth Herrick Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH HERRICK NP (NPI 1629576244) is an individual nurse practitioner in Hesperia, California, licensed in California (95008084) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Victorville.

NPPES Registry Identity

NPI1629576244
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKENNETH HERRICKCredential: NP
Location Address17043 MAIN STHesperia, CA 92345-6055
Mailing Address12550 Hesperia Rd # 101Victorville, CA 92395-5873 · (760) 381-7703
Phone(760) 241-6666
Fax(760) 243-2099
Sole ProprietorNo
Enumeration DateJanuary 29, 2018
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1629576244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95008084
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
17043 MAIN ST, Hesperia, CA 92345
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Secondary Practice Location 1

Location 112550 Hesperia Rd # 101Victorville, CA 92395-5873 · Phone (760) 381-7703

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Herrick Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK IMMANUEL POTES MD
Family Medicine
17043 MAIN ST
HESPERIA, CA 92345
San Bernardino County (760) 241-6666
ROXANNE SHIZU BARBE
Nurse Practitioner (Family)
17043 MAIN ST
HESPERIA, CA 92345
San Bernardino County (760) 241-6666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Herrick's NPI number?

The NPI number for Kenneth Herrick is 1629576244. It was assigned to this individual provider in the NPPES registry on January 29, 2018.

Where is Kenneth Herrick located?

Kenneth Herrick practices at 17043 Main St, Hesperia, CA 92345. The listed phone number is (760) 241-6666.

What is Kenneth Herrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kenneth Herrick enrolled in Medicare?

Yes. Kenneth Herrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Herrick was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.